01/09/2026
Multi-strain probiotics, gut-brain axis, and tau protein: A summary of a recent clinical study
In August of this year, a few days ago, a clinical study conducted in Korea on elderly people with mild impairment of memory and orientation, that is, with initial cognitive impairment, was published in the Journal of Alzheimer’s Disease.
The aim was simple: to understand whether a supplement of multiple "friendly" bacteria (a multi-strain probiotic) could influence certain biological signals of Alzheimer's disease and certain mental abilities.
The study was conducted in a "double-blind" manner: neither the participants nor the doctors knew who received the probiotic and who received a placebo. Duration: 24 weeks. In the end, 87 participants were analyzed: 40 in the probiotic group and 47 in the placebo group.
In addition to tests of memory and visuospatial abilities (that is, the ability to copy figures, to "see" space, and to remember a figure after copying it), the researchers measured three signals in the blood:
pTau181: a fragment of modified tau protein. When tau protein becomes "damaged" and accumulates in neurons, it is one of the typical processes of Alzheimer's.
GFAP: a signal of activation of brain support cells (astrocytes), linked to inflammation.
NfL: a fragment of "filaments" of neurons that increases when nerve cells are damaged.
The underlying idea resides in the concept of the gut-brain axis (or, as the authors write, also of the oral-immune-brain axis): bacteria of the mouth and gut talk with the immune system and, through chemical and inflammatory messages, can influence the brain.
In the group taking the probiotic, the level of pTau181 in the blood significantly decreased compared to placebo. GFAP and NfL, instead of rising as in the placebo group, remained stable.
Clinically, the global severity score (CDR) improved, especially in memory. In particular, people in the probiotic group performed better in visuospatial tasks (copying a complex figure) and better retained the visual memory of the figure, whereas in the placebo group that memory worsened.
The study therefore demonstrates a significant positive effect: fewer signals of tau pathology and neuronal inflammation/damage, and better preservation of certain visuospatial functions.
The message is concrete. It is not just about "good bacteria for the gut." A set of microbial strains, taken for several months, modified markers in the blood that are used today to track Alzheimer's disease and protected specific cognitive functions.
This reinforces the idea that microbial biodiversity—that is, having many different types of useful bacteria, and not just a few strains, even if present in billions of copies—may be a way to act upstream, on inflammation and on communication between the gut (or oral cavity) and the brain.
Where Bravo fits in: Bravo is a fermented symbiont based on colostrum or h**p seed proteins, with a rich microbial community, the richest in the world and not reduced to a few strains as in other commercially available probiotics. In addition to bacteria (in particular bifidobacteria and other symbionts), it contains phages (friendly viruses that kill disease-causing bacteria) and plasmids (small pieces of mobile DNA).
This combination makes Bravo a complete ecosystem. Biodiversity, phages, and plasmids promote an exceptionally stable equilibrium, help contain unwanted bacteria, and exchange useful genetic information among microorganisms.
The Korean study shows that a multi-strain preparation, even if simpler than Bravo, is already able to modulate tau protein pathology and preserve important cognitive functions.
Bravo can therefore be interpreted within the same framework, and indeed within a broader framework: not just "adding bacteria," but providing a complex microbial environment, with phages and plasmids, that acts on the microbiota-immunity-brain axis.
The rationale for using Bravo in these contexts is consistent with what this trial has just made visible in people with early cognitive impairment.
Reference: Seo EH et al. Multistrain probiotics modulate tau pathology and preserve visuospatial cognition in early cognitive impairment: A double-blind, randomized, placebo-controlled trial. J Alzheimers Dis. 2026. PMID: 42663491. https://pubmed.ncbi.nlm.nih.gov/42663491/
Alzheimer's Association